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许多人都知道,冠心病的典型症状是突发性的胸骨后、心前区疼痛,有时还可向左上肢放射,并伴随一种压缩感、窒息感,严重时还会出现脸色苍白、出冷汗、呼吸困难等症状,持续时间约1~5分钟后缓解。但临床资料显示,老年人冠心病发作时症状往往是不典型的,且具有隐蔽性,无明确的发作诱因,有时还表现出一些心外症状,即远离心脏的其他部位的不适,容易与口腔、耳鼻喉及内外科的某些疾病相混淆,造成误诊误治。比如,下壁心肌缺血常表现为类似急性肠胃炎、胆绞痛等急腹症的疼痛症状。前壁心肌缺血常以头晕、抑郁、情绪低落、反应迟钝等精神障碍为主要表现。有时心肌缺血表现为腹部不适,并伴有恶心、呕吐、肠胀气、逆呃等,容易
Many people know that the typical symptoms of coronary heart disease is sudden after the sternum, precordial pain, and sometimes to the left upper extremity radiation, accompanied by a sense of compression, suffocation, in severe cases will appear pale, out Cold sweat, dyspnea and other symptoms, the duration of about 1 to 5 minutes after the remission. However, clinical data show that the symptoms of elderly patients with coronary heart disease are often atypical, and has a hidden, no clear cause of attack, and sometimes showed some extra-cardiac symptoms, that is, away from the heart of other parts of the discomfort, and oral , Otolaryngology and some diseases of internal medicine confused, resulting in misdiagnosis and mistreatment. For example, inferior wall myocardial ischemia often shows similar acute gastroenteritis, biliary colic and other acute abdomen pain symptoms. Anterior myocardial ischemia often dizziness, depression, depression, unresponsiveness and other mental disorders as the main performance. Sometimes myocardial ischemia showed abdominal discomfort, accompanied by nausea, vomiting, flatulence, inverse uh, etc., easy